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Interactions médicamenteuses

Certolizumab pegol + Influenza virus vaccine quadrivalent intranasal

Gravité: Contre-indiquée

Certolizumab pegol and Influenza virus vaccine quadrivalent intranasal: contraindicated interaction.

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Résumé

The intranasal influenza vaccine is a live attenuated product. In patients on certolizumab, the vaccine virus may replicate in an uncontrolled way and cause vaccine-related illness, while immune response may be reduced.

Ce que signifie cette interaction, en termes simples

Certolizumab pegol and Influenza virus vaccine quadrivalent intranasal are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Niveau de preuve: Low

Pourquoi elle survient

TNF blockade-related immunosuppression reduces control of replicating attenuated influenza virus.

Conduite à tenir

Use the inactivated injectable influenza vaccine instead of the intranasal live vaccine in patients on certolizumab.

Questions à poser à votre pharmacien

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Certolizumab pegol with Influenza virus vaccine quadrivalent intranasal?

MediHelp rates the interaction as contraindicated. Certolizumab pegol and Influenza virus vaccine quadrivalent intranasal are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. The intranasal influenza vaccine is a live attenuated product. In patients on certolizumab, the vaccine virus may replicate in an uncontrolled way and cause vaccine-related illness, while immune response may be reduced.

How serious is the interaction between Certolizumab pegol and Influenza virus vaccine quadrivalent intranasal?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the inactivated injectable influenza vaccine instead of the intranasal live vaccine in patients on certolizumab.

What other medicines interact with Certolizumab pegol?

MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Bcg vaccine live. The full list is on the Certolizumab pegol page.

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